BSN366 EXIT HESI EXAM QUESTIONS |\ |\ |\ |\ |\
WITH ANSWERS |\
The nurse is providing teaching to a client with type 2 DM about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
important points for disease and symptom management. Which
|\ |\ |\ |\ |\ |\ |\ |\
statement by the client indicates understanding? |\ |\ |\ |\ |\
A) Using salt, herbs, and spices will improve the flavor of foods
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B) Get an eye exam with an opthalmologist annually
|\ |\ |\ |\ |\ |\ |\ |\
C) Arrange diet schedule around three regular meals a day
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) Inspect feet every month for ingrown nails, cuts, and caluses -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔B) Get an eye exam with an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opthalmologist annually |\
The nurse is providing educations to a client who experiences
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recurrent levels of moderate anxiety to situations and perceived
|\ |\ |\ |\ |\ |\ |\ |\ |\
stress. In addition to informations about prescribed medications
|\ |\ |\ |\ |\ |\ |\ |\
and administration, which instruction should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\
the teaching?
|\
A) Center attention on positive upbeat music
|\ |\ |\ |\ |\ |\
B) Find outlets for more social interaction
|\ |\ |\ |\ |\ |\ |\
C) Practice using muscle relaxation techniques
|\ |\ |\ |\ |\
D) Think about reasons the episodes occur - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔C) Practice using muscle relaxation techniques
|\ |\ |\ |\ |\
,The charge nurse is planning for the shift and has a RN and a PN
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the team. Which client should the charge nurse assign to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RN?
A) A 75-year old client with renal calculi who requires urine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
straining
B) A 64-year old client who had a total hip replacement the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
preious day |\
C) A 30-year old depresses client who admits to suicide ideation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D) An adolescent with multiple contusions due to a fall that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occurred 2 days ago - CORRECT ANSWERS ✔✔C) A 30-year old
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
depresses client who admits to suicide ideation |\ |\ |\ |\ |\ |\
NGN: (Nurses Notes) |\ |\ |\
1800: The client is a female neonate born at 37 weeks of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestation to a G 2 P 1 mother, who was diagnosed with|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestational diabetes. Following a spontaneous vaginal birth, she|\ |\ |\ |\ |\ |\ |\ |\
received Apgar scores of seven at one minute and eight at five
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink
|\ |\ |\ |\ |\ |\ |\ |\ |\
with acrocyanosis and a moderate amount of subcutaneous fat.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She is noted to be slightly jittery at 30min of age. Axillary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seven, fontanelles soft, mongolian spot noted on lower back,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ballard maturity rating 37 weeks. (For each assessment finding,
|\ |\ |\ |\ |\ |\ |\ |\ |\
click to indicate whether the findings are associated with an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infant of a diabetic mother or normal presentation.)
|\ |\ |\ |\ |\ |\ |\
Soft Fontanelles
|\
Blood Glucose 35 |\ |\
,Axillary temp. 96F |\ |\
Acrocyanosis
Ballard score maturity rating 37 - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Diabetic Findings: |\
BG 35|\
Axillary temp 96 |\ |\
Ballard score maturity rating 37 |\ |\ |\ |\
???????
Normal Presentation: |\
Soft Fontanelles
|\
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian
|\ |\ |\ |\ |\ |\
spots, and Apgar scores 7 to 10)
|\ |\ |\ |\ |\ |\ |\
NGN: (Nurses Notes) |\ |\ |\
1800: The client is a female neonate born at 37 weeks of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestation to a G 2 P 1 mother, who was diagnosed with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestational diabetes. Following a spontaneous vaginal birth, she
|\ |\ |\ |\ |\ |\ |\ |\
received Apgar scores of seven at one minute and eight at five
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink
|\ |\ |\ |\ |\ |\ |\ |\ |\
with acrocyanosis and a moderate amount of subcutaneous fat.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She is noted to be slightly jittery at 30min of age. Axillary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seven, fontanelles soft, mongolian spot noted on lower back,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ballard maturity rating 37 weeks. |\ |\ |\ |\ |\
, The nurse recognizes that the infant of a diabetic mother is at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk for _________ , _____________ , and _________________ -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Hyperbilirubinemia , Resppiratory |\ |\ |\ |\ |\
Distress Syndrome , and Cardiomyopathy|\ |\ |\ |\
NGN: Orders |\
Breast-feed immediately once stable then on demand. If |\ |\ |\ |\ |\ |\ |\ |\
unstable, may feed breastmilk via orogastric tube. If two feeding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
attempts failed to increase the glucose levels or if symptoms of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypoglycemia develop, apply dextrose gel inside the babies |\ |\ |\ |\ |\ |\ |\ |\
cheek. If the above are ineffective, IV glucose should be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administered to maintain glucose levels above 45. Bolus of |\ |\ |\ |\ |\ |\ |\ |\
2mL/kg glucose 10% IV, hello by a continuous glucose perfusion
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of 6 to 8mg/kg/min, maintain glycemic levels over 40.
|\ |\ |\ |\ |\ |\ |\ |\
Which 6 orders take priority?
|\ |\ |\ |\
A) Feed Immediately
|\ |\
B) Monitor for respiratory distress
|\ |\ |\ |\
C) Apply dextrose gell inside the baby's cheek
|\ |\ |\ |\ |\ |\ |\ |\
D) Keep in warmer with bilirubin lights
|\ |\ |\ |\ |\ |\
E) Monitor temp every 30 min
|\ |\ |\ |\ |\
F) Bolus 2 mL/kg glucose 10% IV
|\ |\ |\ |\ |\ |\
G) Contact RT for ABG and oxygen therapy
|\ |\ |\ |\ |\ |\ |\
H) Echo |\
I) Transfer to NICU
|\ |\ |\
J) Blood glucose level - CORRECT ANSWERS ✔✔A) Feed
|\ |\ |\ |\ |\ |\ |\ |\ |\
Immedicately
WITH ANSWERS |\
The nurse is providing teaching to a client with type 2 DM about
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
important points for disease and symptom management. Which
|\ |\ |\ |\ |\ |\ |\ |\
statement by the client indicates understanding? |\ |\ |\ |\ |\
A) Using salt, herbs, and spices will improve the flavor of foods
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B) Get an eye exam with an opthalmologist annually
|\ |\ |\ |\ |\ |\ |\ |\
C) Arrange diet schedule around three regular meals a day
|\ |\ |\ |\ |\ |\ |\ |\ |\
D) Inspect feet every month for ingrown nails, cuts, and caluses -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔B) Get an eye exam with an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
opthalmologist annually |\
The nurse is providing educations to a client who experiences
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
recurrent levels of moderate anxiety to situations and perceived
|\ |\ |\ |\ |\ |\ |\ |\ |\
stress. In addition to informations about prescribed medications
|\ |\ |\ |\ |\ |\ |\ |\
and administration, which instruction should the nurse include in
|\ |\ |\ |\ |\ |\ |\ |\ |\
the teaching?
|\
A) Center attention on positive upbeat music
|\ |\ |\ |\ |\ |\
B) Find outlets for more social interaction
|\ |\ |\ |\ |\ |\ |\
C) Practice using muscle relaxation techniques
|\ |\ |\ |\ |\
D) Think about reasons the episodes occur - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔C) Practice using muscle relaxation techniques
|\ |\ |\ |\ |\
,The charge nurse is planning for the shift and has a RN and a PN
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
on the team. Which client should the charge nurse assign to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
RN?
A) A 75-year old client with renal calculi who requires urine
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
straining
B) A 64-year old client who had a total hip replacement the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
preious day |\
C) A 30-year old depresses client who admits to suicide ideation
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
D) An adolescent with multiple contusions due to a fall that
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
occurred 2 days ago - CORRECT ANSWERS ✔✔C) A 30-year old
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
depresses client who admits to suicide ideation |\ |\ |\ |\ |\ |\
NGN: (Nurses Notes) |\ |\ |\
1800: The client is a female neonate born at 37 weeks of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestation to a G 2 P 1 mother, who was diagnosed with|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestational diabetes. Following a spontaneous vaginal birth, she|\ |\ |\ |\ |\ |\ |\ |\
received Apgar scores of seven at one minute and eight at five
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink
|\ |\ |\ |\ |\ |\ |\ |\ |\
with acrocyanosis and a moderate amount of subcutaneous fat.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She is noted to be slightly jittery at 30min of age. Axillary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seven, fontanelles soft, mongolian spot noted on lower back,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ballard maturity rating 37 weeks. (For each assessment finding,
|\ |\ |\ |\ |\ |\ |\ |\ |\
click to indicate whether the findings are associated with an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
infant of a diabetic mother or normal presentation.)
|\ |\ |\ |\ |\ |\ |\
Soft Fontanelles
|\
Blood Glucose 35 |\ |\
,Axillary temp. 96F |\ |\
Acrocyanosis
Ballard score maturity rating 37 - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Diabetic Findings: |\
BG 35|\
Axillary temp 96 |\ |\
Ballard score maturity rating 37 |\ |\ |\ |\
???????
Normal Presentation: |\
Soft Fontanelles
|\
Acrocyanosis
(normal findings include acrocyanosis, soft fontanelles, mongolian
|\ |\ |\ |\ |\ |\
spots, and Apgar scores 7 to 10)
|\ |\ |\ |\ |\ |\ |\
NGN: (Nurses Notes) |\ |\ |\
1800: The client is a female neonate born at 37 weeks of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestation to a G 2 P 1 mother, who was diagnosed with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
gestational diabetes. Following a spontaneous vaginal birth, she
|\ |\ |\ |\ |\ |\ |\ |\
received Apgar scores of seven at one minute and eight at five
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
minutes. The client weighs 4036.97g (8lbs 9oz) and appears pink
|\ |\ |\ |\ |\ |\ |\ |\ |\
with acrocyanosis and a moderate amount of subcutaneous fat.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
She is noted to be slightly jittery at 30min of age. Axillary
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
temperature 96F, pulse 140, RR 80. Blood glucose 35, Billy Rubin |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
seven, fontanelles soft, mongolian spot noted on lower back,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Ballard maturity rating 37 weeks. |\ |\ |\ |\ |\
, The nurse recognizes that the infant of a diabetic mother is at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
risk for _________ , _____________ , and _________________ -
|\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Hyperbilirubinemia , Resppiratory |\ |\ |\ |\ |\
Distress Syndrome , and Cardiomyopathy|\ |\ |\ |\
NGN: Orders |\
Breast-feed immediately once stable then on demand. If |\ |\ |\ |\ |\ |\ |\ |\
unstable, may feed breastmilk via orogastric tube. If two feeding
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
attempts failed to increase the glucose levels or if symptoms of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
hypoglycemia develop, apply dextrose gel inside the babies |\ |\ |\ |\ |\ |\ |\ |\
cheek. If the above are ineffective, IV glucose should be
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
administered to maintain glucose levels above 45. Bolus of |\ |\ |\ |\ |\ |\ |\ |\
2mL/kg glucose 10% IV, hello by a continuous glucose perfusion
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
of 6 to 8mg/kg/min, maintain glycemic levels over 40.
|\ |\ |\ |\ |\ |\ |\ |\
Which 6 orders take priority?
|\ |\ |\ |\
A) Feed Immediately
|\ |\
B) Monitor for respiratory distress
|\ |\ |\ |\
C) Apply dextrose gell inside the baby's cheek
|\ |\ |\ |\ |\ |\ |\ |\
D) Keep in warmer with bilirubin lights
|\ |\ |\ |\ |\ |\
E) Monitor temp every 30 min
|\ |\ |\ |\ |\
F) Bolus 2 mL/kg glucose 10% IV
|\ |\ |\ |\ |\ |\
G) Contact RT for ABG and oxygen therapy
|\ |\ |\ |\ |\ |\ |\
H) Echo |\
I) Transfer to NICU
|\ |\ |\
J) Blood glucose level - CORRECT ANSWERS ✔✔A) Feed
|\ |\ |\ |\ |\ |\ |\ |\ |\
Immedicately
